Measurement of functional status in primary care: the role of the interprofessional team.
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| Title: | Measurement of functional status in primary care: the role of the interprofessional team. |
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| Authors: | Zamora-Rogoski, Kara A. (AUTHOR), Brown, Rebecca T. (AUTHOR), Rizzo, Anael (AUTHOR), Nicosia, Francesca M. (AUTHOR) |
| Source: | Journal of Interprofessional Care. Jan/Feb2026, Vol. 40 Issue 1, p67-75. 9p. |
| Subjects: | Nurses, Physical therapy assessment, Self-evaluation, Occupational roles, Research funding, Social workers, Qualitative research, Interprofessional relations, Patient safety, Primary health care, United States. Dept. of Veterans Affairs, Hospital nursing staff, Interviewing, Judgment sampling, Descriptive statistics, Sound recordings, Workflow, Family attitudes, Geriatric assessment, Attitudes of medical personnel, Research, Industrial research, Communication, Research methodology, Nursing practice, Medical records, Acquisition of data, Cognition disorders, Data analysis software, Medical screening, Health care teams, Veterans' hospitals, Activities of daily living, Medical practice, Medical referrals, Caregiver attitudes, Occupational therapy needs assessment |
| Geographic Terms: | United States |
| Abstract: | Measuring functional status allows clinicians to deliver evidence-based interventions to prevent or delay associated adverse outcomes. Functional status is seldom routinely measured in primary care settings where most older adults receive care. Interprofessional team-based care is increasingly regarded as an important feature of high quality and efficient health care systems. Yet despite growing evidence of the benefits of team-based care, in primary care there are not yet standards for how to operationalize interprofessional practice. In this study we explored interprofessional perspectives on assessing functional status among older adults in team-based VA primary care clinics. We conducted qualitative interviews with 57 primary care team members (nursing staff, primary care providers, and social workers) from six geographically diverse VA medical centers. We drew from implementation science frameworks and sociotechnical theories to ground our thematic analysis in dynamic, real-world contexts. Interviews revealed the view that all primary care team members play a role in measuring and addressing functional status. Participants also described a perceived hierarchy of accuracy of assessment based on role and outlined strategies for validating the accuracy of functional status assessments. These results can inform guidelines for functional status measurement in primary care that improve interprofessional assessment and team-based communication. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Interprofessional Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Measuring functional status allows clinicians to deliver evidence-based interventions to prevent or delay associated adverse outcomes. Functional status is seldom routinely measured in primary care settings where most older adults receive care. Interprofessional team-based care is increasingly regarded as an important feature of high quality and efficient health care systems. Yet despite growing evidence of the benefits of team-based care, in primary care there are not yet standards for how to operationalize interprofessional practice. In this study we explored interprofessional perspectives on assessing functional status among older adults in team-based VA primary care clinics. We conducted qualitative interviews with 57 primary care team members (nursing staff, primary care providers, and social workers) from six geographically diverse VA medical centers. We drew from implementation science frameworks and sociotechnical theories to ground our thematic analysis in dynamic, real-world contexts. Interviews revealed the view that all primary care team members play a role in measuring and addressing functional status. Participants also described a perceived hierarchy of accuracy of assessment based on role and outlined strategies for validating the accuracy of functional status assessments. These results can inform guidelines for functional status measurement in primary care that improve interprofessional assessment and team-based communication. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 13561820 |
| DOI: | 10.1080/13561820.2025.2537124 |
